DE76054C

DE76054C - Apparatus for the active and passive degree direction of the spine

Info

Publication number: DE76054C
Application number: DENDAT76054D
Authority: DE
Original assignee: Dr. med. A. BERTLING in Aachen, Boxgraben
Anticipated expiration: 1913-11-28

Description

KAISERLICHESIMPERIAL

PATENTAMT.PATENT OFFICE.

KLASSE 30: Gesundheitspflege.CLASS 30: Health Care.

Der in den beiliegenden Zeichnungen dargestellte Apparat dient zur Gradrichtung der verkrümmten Wirbelsäule und ist insbesondere für den Hausgebrauch bestimmt.The apparatus shown in the accompanying drawings is used for the direction of the degree curved spine and is particularly intended for household use.

Derselbe besteht aus einem Fufsbrett a, auf welchem zwei kraftige, eiserne senkrechte Stützen b b in hinreichender Entfernung angebracht sind, um den Körper des Kranken zwischen sich aufzunehmen. An diesen Säulen befinden sich von oben nach unten und von aufsen nach innen verstellbare Beckengabeln c c, welche durch eine Klemmschraube d festgestellt werden. Die senkrechten Stangen b b haben an ihrem oberen Ende und der äufseren Kante eine Anzahl schräg verlaufender Einschnitte e e zur Aufnahme der nachfolgend beschriebenen Hebel//. Mehr unterhalb findet sich noch eine Anzahl seichterer Einschnitte g g, welche den Hebeln als Stützpunkt dienen, wenn der Kranke den Apparat im Sitzen benutzen soll. Die Hebel sind zweiarmig und stützen sich mit einem Stift in die erwähnten Einschnitte. Der obere Arm theilt sich gabelförmig in einer den graden Brustdurchmesser des Kranken etwas übertreffenden Breite in zwei an ihrem oberen Ende hakenförmig ausgeschmiedete Arme. Die Haken sind zur Aufnahme der Enden der Gradrichtungsgurte h bestimmt. Der untere Arm endet in einem Knopf und trägt an einem Schieber eine K an einer beliebigen Stelle inIt consists of a footboard a, on which two strong, iron vertical supports bb are attached at a sufficient distance to hold the patient's body between them. On these pillars there are pelvic forks cc that can be adjusted from top to bottom and from outside to inside, which are fixed by a clamping screw d. The vertical rods bb have a number of inclined incisions ee at their upper end and the outer edge to accommodate the lever // described below. Further below there are a number of shallower incisions gg which serve as a support point for the levers when the patient is to use the apparatus while sitting. The levers have two arms and are supported by a pin in the notches mentioned. The upper arm is fork-shaped, with a width somewhat larger than the patient's chest diameter, into two arms, forged hook-shaped at their upper end. The hooks are intended to receive the ends of the degree direction belts h. The lower arm ends in a button and carries a K anywhere in on a slider

Stift k Pen k

eingehakt wird. Die Gurte h sind nach den Umrifslinien der Brust bezw. der Schulter geformt und haben einen Riemen /, welcher sie nach Bedarf auf der Schulter, der seitlichen Brust oder der Lende fixirt.is hooked. The straps h are respectively according to the outline of the chest. of the shoulder and have a strap / which fixes them on the shoulder, the side of the chest or the loin as required.

Die Anwendung ist bei der typischen rechtsKette i, welcheThe application is with the typical right chain i, which

einen an der Verticalstange befindlichenone on the vertical pole

dorsalen und linkslumbalen Moliose die in Fig. 1 gezeigte und nachfolgend erläuterte: Die Beckengabeln c werden dicht über dem trochanter major, dem Becken, fest angelegt. Oft ist es gut, den linken Fufs zu erhöhen, weil dadurch eine Gradrichtung des Lendenrückens unterstützt wird und die .Rechtsneigung des Beckens eine günstigere Ausgangsstellung für die folgende Uebung bewirkt. Schiefstellung des Beckens mufs in der Regel durch Unterlegen eines Fufsbrettchens ausgeglichen werden. Nun wird der rechte Hebel/in einer solchen Höhe in die senkrechte Stange b eingehakt, dafs seine oberen Enden beinahe in der Höhe des Scheitelwirbels der Lendenkrümmung stehen. Dann wird ein Gurt h über die linke Lende gelegt, mit seinen Enden in die Hebelhaken eingehakt, der Hebel/ angedrückt und mittelst der Kette i an der senkrechten Stange b festgestellt. Der Kranke legt dann die rechte Hand auf den Kopf, stützt mit der linken die Lendenconvexität und beugt den Oberkörper kraftvoll nach links, wobei der hinreichend stark gespannte Gurt die Drehachse für die Biegung der Wirbelsäule abgiebt. Nachdem diese Bewegung 20 bis 30 mal ausgeführt ist, wird Gurt und Hebel entfernt, ersterer über die Convexität der Rückenkrümmung gelegt und in den linksseitigen Hebel/ eingehakt. Der Kranke biegt nun, die rechte Hand möglichst hoch auf dem Rippenbuckel, die linke auf dem Kopf, den Oberrumpf nach rechts. Der Kopf mufs dabei kräftig mit hinübergeworfen werden. Anfangs ist der Kranke durch Gegendruck auf die Convexität und Hinüberdrängen der linken Schulter zu unterstützen, damit er lernt, die Biegung in der richtigen Höhe auszuführendorsal and left lumbar moliosis that shown in FIG. 1 and explained below: The pelvic forks c are placed tightly over the greater trochanter, the pelvis. It is often a good idea to raise the left foot, because this supports a straight line of the lumbar back and the right inclination of the pelvis results in a more favorable starting position for the following exercise. Misalignment of the pelvis must usually be compensated for by placing a foot board underneath. Now the right lever / is hooked into the vertical bar b at such a height that its upper ends are almost at the level of the vertex of the lumbar curvature. Then a belt h is placed over the left loin, its ends are hooked into the lever hooks, the lever / is pressed and secured by means of the chain i on the vertical rod b . The patient then places the right hand on the head, supports the lumbar convexity with the left and bends the upper body powerfully to the left, whereby the sufficiently tight belt provides the axis of rotation for the bend of the spine. After this movement has been carried out 20 to 30 times, the belt and lever are removed, the former is placed over the convexity of the curvature of the back and hooked into the lever / on the left. The patient now bends his upper torso to the right with his right hand as high as possible on the hump of the ribs, the left on his head. The head must be thrown over vigorously. At first the patient is to be supported by counter-pressure on the convexity and by pushing the left shoulder so that he learns to make the bend at the correct height

Claims

and not localize it on the lumbar region. If there is a rib hump with a pronounced backward curvature of the rib angles, it is necessary to allow the pressure to act more in the diagonal running from the back right to the front left. For this purpose, a narrow pillow or a briefly folded cloth is placed under the belt at the level of the rib hump, which remains in place during the following exercises. In addition, the practitioner must turn his upper body slightly to the left, while his pelvis remains fixed in the frontal plane. He can support this posture by placing his right hand on his left shoulder. It takes a little practice to make the bend in this diagonal plane. Then the shoulder strap is put on so that it lies on the left shoulder, while the strap is brought under the armpit, and hooked into the raised right lever. The curvature of the back is now passively reduced, with a force which, by virtue of the long arms of the lever, can be chosen to be as strong as desired. In this posture, which has been improved as much as possible, exercises are carried out which are aimed at strengthening the muscles on the convex side. It is evident that the exercise of the muscles in this position, which approximates the natural conditions, is more effective than when they have to contract over an arch or even in a kind of dislocation, as is usually the case with severe molioses, than the tendon of the one Vortices formed arc run. It is just as true that the standing posture is the most advantageous for the exercise of the muscles of the back, especially when the pelvis that is held is given a firm foundation. As typical exercises for the assumed case, I would like to cite the following:

1. Dumbbell exercise (Fig. 3): A dumbbell from Y ₂ to ι Y ₂ kg in weight is raised to the horizontal with the hand opposite the curvature of the back. Here, the back extensors on the convex side are contracted, which is supported by the right hand.

2. Stick exercises by means of a strong stick corresponding to the size of the person practicing.

a) On the side of the convexity, the rod held vertically is in the meantime pressed against the floor. This creates a secondary contraction of the convex side Back extensor.

b) If the rib hump is present, the rod is held on the side of the hump in such a way that it is passed under the armpit and is supported on the floor behind the patient. The patient now makes the movement as if, standing in a boat, he wanted to push it away from the land with a stick. This movement first requires a contraction of the chest muscle and the latissimi dorsi, but then also of the muscles that go from the shoulder blade to the proxissimi spinosi of the dorsal and cervical vertebrae, and therefore causes a strong impression of the rib hump. At the same time the back extensors contract. the working side.

c) Both hands grasp the stick, which is propped up vertically in front of the body, and try to pulling up the trunk on it, thereby creating a strong general stretching of the Spine, but especially a good effect on simultaneous back reduction.

To these exercises we can add several more directed to the twisting of the spinal column and the displacement of the pelvis, which, however, cannot be stenciled, but must be adapted to the needs of the individual case. '.

It is of great importance that the apparatus can also be used while seated (Fig. 4). An ordinary chair with a backrest is pushed between the uprights and pelvic fork, belts and levers applied in the required manner during the Ill sits. He can then remain in this straightened position for a certain period of time. is the moliosis soft and does not require very strong pulling of the levers, so the session can be extended for a longer period of time. You can even move a table up to the machine and keep the child reading or writing. Should you be laying the static conditions of the spine can extend to hours, then that would be Conditions of a natural treatment completely fulfilled.

Sponsorship τ claim:

A device for the active and passive degree direction of the spine, characterized by two fork levers (ff) that are attached to two vertical supports (bb) so that they can be rotated and adjusted and are used to fasten the degree direction belts (h ) and two pelvic forks that are vertically and horizontally adjustable on the same supports ( c).

1 sheet of drawings.